RPS Worksite Conditions

The Richmond Education Association would like to know if your workplace has issues with heating, air conditioning, rodents or black mold. Please take a moment and fill out this form.

Date Date * / MM / DD YYYY
Name Name * First Last
Are you currently a member of the REA? *

Are you currently a member of the REA? Yes No
If you would like to join the REA, use the link below
Worksite *
Personal Phone Personal Phone * - ### - ### ####
Personal Email *
Type of Issue *

Type of Issue Rodents Black Mold Heating Air Conditioning Other Other

If applicable, select all issues that apply to your worksite
Comments
Photo Upload

Attach Files

Please, only upload pictures of black mold, evidence of rodents, and evidence of non-functioning air conditioning or heating units. (No pictures more than 2 weeks old.)
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